RESUMO
Upper gastrointestinal endoscopy has been increasingly used in children for various diagnostic and therapeutic purposes. But this has not always been a morbidity free procedure especially in small kids. Three patients who presented with history of endoscopic intervention followed by abdominal pain and radiographic evidence of free air under diaphragm were managed conservatively over a period of two years.
Assuntos
Duodeno/lesões , Endoscopia do Sistema Digestório/efeitos adversos , Perfuração Intestinal/etiologia , Criança , Pré-Escolar , Feminino , Humanos , Perfuração Intestinal/diagnóstico , MasculinoRESUMO
Acute pancreatitis is a disease with a broad spectrum of clinical presentation. It varies in severity from mild edematous pancreatitis with mostly uneventful recovery to severe necrotizing forms associated with significant morbidity and mortality. Various severity scoring systems are used for assessing the prognosis of acute pancreatitis. These include the clinical scoring scales as Ranson criteria, Glasgow scales, simplified acute physiology (SAP) score and acute physiology and chronic health evaluation II (APACHE II) score. The CT severity index (CTSI) derived by Balthazar grading of pancreatitis and the extent of pancreatic necrosis is now widely used in describing CT findings of acute pancreatitis and serves as the radiological scoring system. The purpose of this review is to analyze the correlation of clinical and radiological scoring scales with patient outcome and assess their role as objective prognosticators of acute pancreatitis patients.